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Ascension Se Wisconsin Hospital

5000 W Chambers St, Milwaukee, WI 53210 · (414) 447-2130

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 5/5Milwaukee, WI metroWebsite ↗

Price file

Prices published

File dated 2026-01-01

32,895 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 18 lines · metro median $51

$51
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 27 lines · metro median $1,980

$1,275
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 45 lines · metro median $1,208

$842
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 45 lines · metro median $1,570

$868
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 27 lines · metro median $113

$113
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 27 lines · metro median $70

$32
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 18 lines · metro median $158

$66
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 54 lines · metro median $283

$382
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Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 36 lines · metro median $283

$342
cash
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Gonorrhea test (DNA)

CPT 87591 · lowest of 18 lines · metro median $105

$113
cash
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Left heart catheterization

CPT 93452 · lowest of 27 lines · metro median $8,373

$8,373
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 18 lines · metro median $93

$51
cash
Liver function panel

CPT 80076 · lowest of 18 lines · metro median $89

$52
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 54 lines · metro median $3,265

$1,427
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 54 lines · metro median $2,110

$1,355
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 54 lines · metro median $2,110

$1,342
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 54 lines · metro median $2,110

$1,337
cash
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Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 27 lines · metro median $931

$931
cash
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PSA test (prostate)

CPT 84153 · lowest of 45 lines · metro median $70

$70
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 27 lines · metro median $50

$38
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 54 lines · metro median $88

$73
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 54 lines · metro median $660

$367
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Prostate biopsy

CPT 55700 · lowest of 27 lines · metro median $1,210

$1,372
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 54 lines · metro median $28

$21
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Screening mammogram (both breasts)

CPT 77067 · lowest of 54 lines · metro median $183

$259
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Sleep study (overnight, attended)

CPT 95810 · lowest of 18 lines · metro median $3,385

$4,540
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 27 lines · metro median $1,005

$1,005
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 27 lines · metro median $1,054

$1,054
cash
TSH test (thyroid)

CPT 84443 · lowest of 45 lines · metro median $26

$27
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 54 lines · metro median $470

$470
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 54 lines · metro median $758

$416
cash
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Urinalysis with microscope

CPT 81001 · lowest of 18 lines · metro median $40

$22
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 54 lines · metro median $353

$163
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.